Individual
TAE WOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 FORBES AVE FL 9, PITTSBURGH, PA 15213-3317
(412) 246-6351
Mailing address
3501 FORBES AVE FL 9, PITTSBURGH, PA 15213-3317
(412) 246-6351
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
247886
MA
2084P0800X
Psychiatry Physician
MD14645
RI
2084P0802X
Addiction Psychiatry Physician
247886
MA
2084P0802X
Addiction Psychiatry Physician
Primary
MD436597
PA
Other
Enumeration date
06/26/2008
Last updated
02/03/2023
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